eMMA #4- Appendix2-Bidder_Offeror Information Sheet.pdf

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Attached to
Albert Powell Fish Hatchery Raceway Valve Replacement
Solicitation number
BPM030859
Issued by
Washington County, Hagerstown City, Maryland

About this file

Appendix 2 - Bidder/Offeror Information Sheet is a form related to a state and local contract opportunity in Maryland for the Albert Powell Fish Hatchery Raceway Valve Replacement project. The project requires a contractor to provide all labor, equipment, materials, supplies, insurance, etc. necessary to replace the raceway cleanout valves at the Albert Powell Trout Hatchery located in Hagerstown, Washington County, Maryland.

The document requests information about the bidder/offeror including company details, contractor identification numbers, certifications, primary and authorized contacts, and signature authority. This contract opportunity is open to small, minority, and veteran-owned businesses certified in the specified categories in the state of Maryland.

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Appendix 2 – Bidder/Offeror Information Sheet Page A2-1 effective date: May 1, 2018

Appendix 2. – Bidder/Offeror Information Sheet

Bidder/Offeror

Company Name

Street Address

City, State, Zip Code

Contractor Federal Employer Identification Number

(FEIN)

Contractor eMM ID Number As of the Bid/Proposal submission date, are you registered to do business with the state of Maryland?

SBE / MBE/ VSBE Certification

SBE Number:

Expiration Date:

VSBE Number:

Expiration Date:

MBE Number:

Expiration Date:

Categories to be applied to this solicitation (dual certified firms must choose only one category).

Bidder/Offeror Primary Contact

Name

Title

Office Telephone Number (with area code)

Cell Telephone Number (with area code)

E-mail Address

Authorized Bid/Proposal Signatory

Name

Title

Office Telephone Number (with area code)

Cell Telephone Number (with area code)

E-mail Address

Appendix 2. – Bidder/Offeror Information Sheet

File details come from the government source that posted it. Updated .